SCI HOTELS 401(K) PLAN AND TRUST
|
2013
|
261475825
|
2014-07-07
|
SCI HOTELS, LLC
|
512
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
721110
|
Sponsor’s telephone number |
3202023100
|
Plan sponsor’s mailing address |
366 10TH AVENUE SOUTH, WAITE PARK, MN, 56387
|
Plan sponsor’s
address |
366 10TH AVENUE SOUTH, WAITE PARK, MN, 56387
|
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-07-07 |
Name of individual signing |
CINDY KURILLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-07 |
Name of individual signing |
CINDY KURILLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SCI HOTELS 401(K) PLAN AND TRUST
|
2013
|
261475825
|
2014-01-14
|
SCI HOTELS, LLC
|
512
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
721110
|
Sponsor’s telephone number |
3202023100
|
Plan sponsor’s mailing address |
366 10TH AVENUE SOUTH, WAITE PARK, MN, 56387
|
Plan sponsor’s
address |
366 10TH AVENUE SOUTH, WAITE PARK, MN, 56387
|
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-01-14 |
Name of individual signing |
CINDY KURILLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SCI HOTELS, LLC LTD
|
2011
|
261475825
|
2012-07-26
|
SCI HOTELS, LLC
|
126
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2008-01-01
|
Business code |
721110
|
Sponsor’s telephone number |
3202023100
|
Plan sponsor’s mailing address |
366 10TH AVENUE SOUTH, WAITE PARK, MN, 56387
|
Plan sponsor’s
address |
366 10TH AVENUE SOUTH, WAITE PARK, MN, 56387
|
Plan administrator’s name and address
Administrator’s EIN |
261475825 |
Plan administrator’s name |
SCI HOTELS, LLC |
Plan administrator’s
address |
366 10TH AVENUE SOUTH, WAITE PARK, MN, 56387 |
Administrator’s telephone number |
3202023100 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-07-26 |
Name of individual signing |
CINDY KURILLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SCI HOTELS, LLC LIFE & AD&D INSURANCE
|
2011
|
261475825
|
2012-07-26
|
SCI HOTELS, LLC
|
130
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2008-01-01
|
Business code |
721110
|
Sponsor’s telephone number |
3202023100
|
Plan sponsor’s mailing address |
366 SOUTH 10TH AVENUE, WAITE PARK, MN, 56387
|
Plan sponsor’s
address |
366 SOUTH 10TH AVENUE, WAITE PARK, MN, 56387
|
Plan administrator’s name and address
Administrator’s EIN |
261475825 |
Plan administrator’s name |
SCI HOTELS, LLC |
Plan administrator’s
address |
366 SOUTH 10TH AVENUE, WAITE PARK, MN, 56387 |
Administrator’s telephone number |
3202023100 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-07-26 |
Name of individual signing |
CINDY KURILLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SCI HOTELS, LLC
|
2011
|
261475825
|
2012-07-26
|
SCI HOTELS, LLC
|
126
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2008-01-01
|
Business code |
721110
|
Sponsor’s telephone number |
3202023100
|
Plan sponsor’s mailing address |
366 10TH AVENUE SOUTH, WAITE PARK, MN, 56387
|
Plan sponsor’s
address |
366 10TH AVENUE SOUTH, WAITE PARK, MN, 56387
|
Plan administrator’s name and address
Administrator’s EIN |
261475825 |
Plan administrator’s name |
SCI HOTELS, LLC |
Plan administrator’s
address |
366 10TH AVENUE SOUTH, WAITE PARK, MN, 56387 |
Administrator’s telephone number |
3202023100 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-07-26 |
Name of individual signing |
CINDY KURILLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SCI HOTELS, LLC
|
2010
|
261475825
|
2011-07-19
|
SCI HOTELS, LLC
|
133
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2008-01-01
|
Business code |
721110
|
Sponsor’s telephone number |
3202023100
|
Plan sponsor’s mailing address |
366 10TH AVENUE SOUTH, WAITE PARK, MN, 56387
|
Plan sponsor’s
address |
366 10TH AVENUE SOUTH, WAITE PARK, MN, 56387
|
Plan administrator’s name and address
Administrator’s EIN |
261475825 |
Plan administrator’s name |
SCI HOTELS, LLC |
Plan administrator’s
address |
366 10TH AVENUE SOUTH, WAITE PARK, MN, 56387 |
Administrator’s telephone number |
3202023100 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-07-19 |
Name of individual signing |
CINDY KURILLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SCI HOTELS, LLC LTD
|
2010
|
261475825
|
2011-07-19
|
SCI HOTELS, LLC
|
133
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2008-01-01
|
Business code |
721110
|
Sponsor’s telephone number |
3202023100
|
Plan sponsor’s mailing address |
366 10TH AVENUE SOUTH, WAITE PARK, MN, 56387
|
Plan sponsor’s
address |
366 10TH AVENUE SOUTH, WAITE PARK, MN, 56387
|
Plan administrator’s name and address
Administrator’s EIN |
261475825 |
Plan administrator’s name |
SCI HOTELS, LLC |
Plan administrator’s
address |
366 10TH AVENUE SOUTH, WAITE PARK, MN, 56387 |
Administrator’s telephone number |
3202023100 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-07-19 |
Name of individual signing |
CINDY KURILLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SCI HOTELS, LLC LIFE & AD&D INSURANCE
|
2010
|
261475825
|
2011-07-19
|
SCI HOTELS, LLC
|
139
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2008-01-01
|
Business code |
721110
|
Sponsor’s telephone number |
3202023100
|
Plan sponsor’s mailing address |
366 SOUTH 10TH AVENUE, WAITE PARK, MN, 56387
|
Plan sponsor’s
address |
366 SOUTH 10TH AVENUE, WAITE PARK, MN, 56387
|
Plan administrator’s name and address
Administrator’s EIN |
261475825 |
Plan administrator’s name |
SCI HOTELS, LLC |
Plan administrator’s
address |
366 SOUTH 10TH AVENUE, WAITE PARK, MN, 56387 |
Administrator’s telephone number |
3202023100 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-07-19 |
Name of individual signing |
CINDY KURILLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SCI HOTELS, LLC LONG-TERM DISABILITY INSURANCE
|
2009
|
261475825
|
2010-07-21
|
SCI HOTELS, LLC
|
109
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2008-01-01
|
Business code |
721110
|
Sponsor’s telephone number |
3202023100
|
Plan sponsor’s mailing address |
366 SOUTH 10TH AVENUE, WAITE PARK, MN, 56387
|
Plan sponsor’s
address |
366 SOUTH 10TH AVENUE, WAITE PARK, MN, 56387
|
Plan administrator’s name and address
Administrator’s EIN |
261745825 |
Plan administrator’s name |
SCI HOTELS, LLC |
Plan administrator’s
address |
366 SOUTH 10TH AVENUE, WAITE PARK, MN, 56387 |
Administrator’s telephone number |
3202023100 |
Number of participants as of the end of the plan year
Active participants |
133 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-07-20 |
Name of individual signing |
CINDY KURILLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SCI HOTELS, LLC SHORT-TERM DISABILITY INSURANCE
|
2009
|
261475825
|
2010-07-21
|
SCI HOTELS, LLC
|
109
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2008-01-01
|
Business code |
721110
|
Sponsor’s telephone number |
3202023100
|
Plan sponsor’s mailing address |
366 SOUTH 10TH AVENUE, WAITE PARK, MN, 56387
|
Plan sponsor’s
address |
366 SOUTH 10TH AVENUE, WAITE PARK, MN, 56387
|
Plan administrator’s name and address
Administrator’s EIN |
261745825 |
Plan administrator’s name |
SCI HOTELS, LLC |
Plan administrator’s
address |
366 SOUTH 10TH AVENUE, WAITE PARK, MN, 56387 |
Administrator’s telephone number |
3202023100 |
Number of participants as of the end of the plan year
Active participants |
133 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-07-20 |
Name of individual signing |
CINDY KURILLA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|